Korean Journal of Biological Psychiatry (생물정신의학)

The Korean Society of Biological Psychiatry (대한생물정신의학회)
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Electroconvulsive Therapy for Treatment-Refractory Behaviors Problems in Neurodevelopmental Disorders

발달장애의 치료저항성 행동문제에 대한 전기경련치료 적용의 최근 경향: 임상적 효과에 대한 서술적 고찰

  • Hye-Jin Seo (Department of Psychiatry, Yong-In Mental Hospital) ;
  • Nam Young Lee (Department of Psychiatry, Dongguk University Ilsan Hospital, Dongguk Medical Center) ;
  • Kyu Young Lee (Department of Psychiatry, Nowon Medical Center, Eulji University) ;
  • Geon Ho Bahn (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Soo-Young Bhang (Department of Psychiatry, Nowon Medical Center, Eulji University) ;
  • Hee Cheol Kim (Department of Psychiatry, Keimyung University Dongsan Medical Center) ;
  • Yong Sik Kim (Department of Psychiatry, Nowon Medical Center, Eulji University) ;
  • In Won Chung (Department of Psychiatry, Yong-In Mental Hospital)
  • 서혜진 (용인정신병원 정신건강의학과) ;
  • 이남영 (동국대학교일산병원 정신건강의학과) ;
  • 이규영 (노원을지대학교병원 정신건강의학과) ;
  • 반건호 (경희대학교병원 정신건강의학과) ;
  • 방수영 (노원을지대학교병원 정신건강의학과) ;
  • 김희철 (계명대학교 동산의료원 정신건강의학과) ;
  • 김용식 (노원을지대학교병원 정신건강의학과) ;
  • 정인원 (용인정신병원 정신건강의학과)
  • Received : 2023.09.22
  • Accepted : 2023.10.02
  • Published : 2023.10.31
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Abstract

Individuals with developmental disorders exhibit a broad spectrum of aggressive behaviors, including self-directed actions and those directed toward others. These behaviors can lead to physical harm, disruptions in daily life, caregiver stress, and an increased risk for abuse and institutionalization. An integrated and multidisciplinary approach, including psychosocial approaches and pharmacotherapy, has been attempted to treat self-injurious and aggressive behaviors, but has shown limited effectiveness in reducing those behaviors. Recently, the use of electroconvulsive therapy has increased as an alternative treatment for pediatric and adolescent patients with treatment-resistant behavior problems in developmental disorders. This review elucidates the indications and clinical effectiveness of electroconvulsive therapy in the management of self-injurious behavior and catatonia in patients with developmental disorders such as autism spectrum disorders and intellectual disabilities.

Keywords

Acknowledgement

This research was partly supported by the research fund of the Yong-In Institute of Psychiatry affiliated with the Yong-In Hospital Maintenance Foundation, a medical corporation.

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